45D1028759 CLIA NUMBER - BEACON HOME HEALTH AGENCY, LLC

Laboratory Demographics

  • Code: 45D1028759
  • Facility Name: BEACON HOME HEALTH AGENCY, LLC
  • Facility Address: 13004 MURPHY RD STE 206
    STAFFORD, TX
    ZIP 77477
  • Facility Phone: 713 592-6428
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • NPI Number: 1972559482
  • Taxonomy: 251E00000X - Home Health
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CLIA Record

Field Name Field Value
CLIA Number 45D1028759
LAB Type Home Health Agency
Facility Name BEACON HOME HEALTH AGENCY, LLC
Street 13004 MURPHY RD STE 206
City STAFFORD
State TX
ZIP 77477
Phone 713 592-6428
Certificate Type 4
Certificate Effective Date 8/2/2022
Certificate Expiration Date 8/1/2024
Facility Type Waiver

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This page was last updated on: 4/23/2024